Breast implant selector systems

ABSTRACT

A breast implant selector system including a breast width selector for selecting breast width input information, a breast tissue type selector for selecting breast tissue type input information in response to breast width input information selected with the breast width selector, and an implant size selector for selecting implant size input information in response to the breast tissue type input information selected with the breast tissue type selector. A result indicator provides a result characterizing at least one suggested breast implant as a function of the input breast width, breast tissue type, and implant size input information.

CROSS-REFERENCE TO RELATED APPLICATIONS

The present application claims priority to U.S. parent application Ser. No. 12/217,984, filed Jul. 10, 2008 and claims the benefit of U.S. provisional application 60/961,161, filed Jul. 19, 2007, the entire contents of which application is incorporated herein by reference.

FIELD OF INVENTION

The present invention relates in general to plastic surgery techniques, and in particular breast implant selector systems suitable for selecting breast implants prior to breast augmentation surgery.

BACKGROUND OF INVENTION

Breast augmentation is one of the most common cosmetic surgical procedures performed in the United States and Europe. In 2006, almost 400,000 women in the United States chose breast implantation surgery to meet their personal goals. Breast augmentation is, for example, often chosen for enhancing figure proportions, for remedying breast droop or sag due to age, nursing, or weight loss, or for symmetry correction during breast reconstruction after cancer surgery. Studies have also shown that breast augmentation can lead to an improved quality of life. Whatever the reason chosen for breast augmentation, the choice of the appropriate breast implant is the first crucial step in the process of realizing the patient's goals.

Each woman who elects breast augmentation surgery not only has her own personal expectations, but also her own unique set of physical characteristics. Certainly the patient and the doctor must consider the patient's desired post-operative breast size and profile; however, the physical characteristics of the patient's breast, including tissue and skin characteristics, also must be carefully considered. In particular, the failure to clinically select a breast implant of the appropriate volume and shape can lead to disappointing aesthetic results, potentially uncorrectable deformities, or even the need for re-operation. Re-operation, which generally occurs with a frequency of ten to twenty percent (10-20%) after three (3) years, not only unnecessarily exposes the patient to additional surgery, but is also costly in terms of both the additional surgical procedure itself and the replacement implants.

Given the wide range of patient goals and differing physical characteristics, a relatively large range of breast implants have been developed and marketed. (Counting types, sizes, shapes, and so on, over two hundred [200] different implants are available in the United States alone.) While this wide range of choices advantageously allows patients and doctors the flexibility to choose the appropriate implant, the array of choices can also make the decision process more complicated, for both patient and doctor.

In other words, patients and their doctors need a better way of selecting the best possible breast implant from the relative large number of choices available in the marketplace. Any new breast implant selection techniques must not only address the aesthetic goals of the patient, but also the constraints imposed by the patient's physical characteristics. Such techniques should be accurate and minimize the risk of disappointing results and re-operation, yet still simply the selection process.

SUMMARY OF INVENTION

The principles of the present invention are embodied in breast implant selector systems that provide doctor and patient with the ability to easily and accurately select an appropriate breast implant in view of the patient's goals and physical characteristics. According to one particular exemplary embodiment, a breast implant selector system is disclosed that includes a breast width selector that allows for the input of breast width information, a breast tissue type selector that allows for the input of breast tissue type information, and an implant size selector allows for the input implant size information. A result indicator provides a result characterizing at least one suggested breast implant as a function of the input breast width, breast tissue type, and implant size information.

Embodiments of the present principles advantageously provide an easy to use system by which doctors and patients can select the best possible implant in view of the patient's goals and physical characteristics. In addition to being easy to use, these systems are accurate and minimize the risk of disappointing results and re-operation.

BRIEF DESCRIPTION OF DRAWINGS

For a more complete understanding of the present invention, and the advantages thereof, reference is now made to the following descriptions taken in conjunction with the accompanying drawings, in which:

FIG. 1 is a diagram of a selected side of a first breast implant selector embodying the principles of the present invention; and

FIG. 2 is a diagram of a selected side of a second breast implant selector embodying the principles of the present invention.

DETAILED DESCRIPTION OF THE INVENTION

The principles of the present invention and their advantages are best understood by referring to the illustrated embodiment depicted in FIGS. 1-2 of the drawings, in which like numbers designate like parts.

FIG. 1 is a diagram of one exemplary breast selector system 100 embodying the principles of the present invention. Breast selector 100 includes three (3) information-bearing movable slides (selectors) 101, 102, and 103 and three (3) corresponding windows 104, 105, and 106, which allow the information on movable slides 101-103 to be viewed during operation of breast selector 100. In the preferred embodiment of breast selector system 100, slides 101-103 and windows 104-106 implement a selection algorithm based on three (3) input criteria, namely, measured breast width, measured or observed breast tissue type, and a degree of freedom in implant size. In the illustrated embodiment, the result of applying the algorithm to the input criteria is the commercial designator of a suggested product available in the marketplace, although in alternate embodiments another form of result, for example implant fill, could be provided as the output result.

Breast width slide 101 of breast selector 100 bears a set of spaced apart marks or indicia that allow the doctor to input the measured breast width of the patient, in centimeters (cm), by aligning the corresponding breast width mark visible through breast width window 104 with fixed arrow 107 on the body of breast selector 100. In the illustrated embodiment, breast selector 100 has windows and slide markings on both sides, with the side visible in FIG. 1 corresponding to breast widths of 10.0 cm up to 12.0 cm, in increments of 0.5 cm, and the opposite (out-of-view) side corresponding to breast widths of 12.5 cm up to 14.0 cm, in increments of 0.5 cm. The alignment of the measured breast width mark on slide 101 with fixed arrow 107 in turn positions movable arrow 108, borne on the edge of breast width slide 101, within breast tissue type window 105.

Breast tissue slide 102 allows the doctor to align a mark associated with the patient's measured or observed breast tissue type with movable arrow 108, as set by breast width slide 101. In the illustrated embodiment, the five (5) different breast tissue type marks borne by breast tissue type slide 102 correspond to very tight/full, tight, normal, loose, and loose/fatty. (These five (5) breast tissue types are generally derived from skin stretch and nipple-to-fold measurements, along with subjective observations; in alternate embodiments, different breast tissue types (characterizations) may be used.) In turn, movable arrow 109, which is disposed on the edge of breast tissue type slide 102, moves a corresponding amount within breast size window 106.

Breast size window 106 and breast size slide 103 allow the patient and doctor to decide whether the implant will be the corresponding optimum choice from the set of available choices or will be smaller or larger than optimum. The recommended implant choices, which are provided on breast size slide 103, then appear in window 110. In the illustrated embodiment shown in FIG. 1, window 110 displays alternate choices within the Allergan 410 family of implants, in this case the FM235 (11.0), MF225 (11.0), and FF255 (11.0) implants. Generally, the Allergan 410 series of implants are form-stable, cohesive, anatomically shaped, and textured implants. The FM235 (11.0) implant has a volume of 235 cc, with full height and moderate projection and a width of 11.0 cm. The MF225 (11.0) implant has a volume of 225 cc, with moderate height and full projection and a width of 11.0 cm. The FF255 (11.0) implant has a volume of 255 cc, with full height and full projection and a width of 11.0 cm.

A more complete set of correlations between breast width, breast tissue type, breast implant size, and the Allergan 410 product family are provided in Tables 1-9. Generally, the information of Tables 1-9 is based on the substantial surgical experience of the inventors in using over one thousand (1000) Allergan 410 form stable implants, clinical observation, and heuristics, in view of the physical characteristics of the implants themselves.

Additionally, each designator number shown in window 110 of breast selector system 100 may be associated with a corresponding post-operative nipple-to-fold length value, for example in another color or font. Advantageously, the provided nipple-to-fold length value, will assist the surgeon in properly placing the incision during surgery.

Application of the principles of the present invention are not limited to the breast implant choices made available by any given manufacturer or any particular type or shape of implant. Moreover, the types, sizes, and shapes of the breast implants available in the marketplace may change as the manufacture develop new products. In particular, the inventive principles can be applied to many different types of implants, including silicone gel and saline, form-stable and non-form stable, anatomic shaped and round, textured or smooth, as well as of different heights and projections. For example, Tables 10-18 contain exemplary data characterizing the Allergan 10-15-20 smooth, round, gel implants and suitable for use in an alternate embodiment of selector 100.

Advantageously, breast implant selector 100 allows the doctor and patient to select an implant that best meets the patient's goals, while avoiding the problems associated with implants that are too large, too small, or of the wrong profile. Avoidance of breast implants that are too large not only reduces the risk of an unnatural appearance resulting from overfill, but equally importantly reduces the stress on the surrounding tissue and the risk of re-operation. On the other hand, avoiding underfill reduces the chance of “emptiness” in the upper breast, as well as a general lack of fullness. The ability to select between a combination of full and moderate height and full and moderate projection advantageously allows the doctor and patient to optimize the choice for women of differing heights and weights.

The body of both breast selector 100 and movable slides 101-103 are preferably constructed of cardboard or a similar rigid, lightweight material and the requisite information is printed in ink. In alternate embodiments, the body of breast selector 100 and/or slides 101-103 may be constructed of any one of a number of other materials, such as plastics or metals, and alternate techniques may be used for displaying the information, such as embossing or molding within the associated material.

An alternate embodiment of the principles of the present invention is shown in FIG. 2. Generally breast implant selector 200 is a tissue based optimal fill selector, which provides an optimal fill volume value based on breast width, skin stretch, parenchymal fill, and nipple-to-fold length. Table 19 provides representative information suitable for implementing the preferred embodiment of breast implant selector 200; the corresponding preferred algorithm is provided in Table 20. Generally, the patient's breast width provides the base measurement and an initial implant volume in cubic centimeters. The initial implant volume is then varied, up or down, in response to the measured skin stretch, fill, and nipple-to-fold determinations.

Breast implant selector system 200 is based on four (4) movable slides (selectors) 201-204 and four (4) corresponding windows 205-208. The construction and operation of breast implant selector 200 are similar to those of breast implant selector 100, although breast selector system 200 applies an algorithm based on four (4) input criteria. In the preferred embodiment of breast implant selector system 200, the input criteria are measured breast width, measured skin type (stretch), measured or observed breast tissue type, and nipple-to-fold length, with the corresponding result being an optimal implant fill.

Breast width slide 201 allows the doctor to input the patient's breast width by aligning the mark representing the measured value appearing within breast width window 205 with fixed arrow 209. In the illustrated embodiment, breast width slide 201 allows for the input of breast widths from narrow (i.e. 10.5 cm) to very wide (i.e. 15.0 cm). When the appropriate breast width mark is aligned with arrow 209, movable arrow 210 on the edge of breast width slide 201 is set to a corresponding position within skin type window 206.

The patient's skin type is entered using skin type slide 202. In particular, the doctor aligns the corresponding skin type mark (arrow) (i.e. tight, average, loose, or very loose) on skin type slide 202 with movable arrow 210, as position by breast width slide 201. In turn, skin type slide 202 positions movable arrow 211 within breast tissue type window 207. The doctor then aligns the breast tissue type mark (arrow) on tissue type slide 203 with movable arrow 211, which in turn sets movable arrow 212 within fill (volume) window 208.

To determine the optimal fill, in centimeters squared (cc), the doctor aligns the appropriate nipple-to-fold arrow on fill slide 204 (i.e. normal or long) with arrow 212. The optimal fill (i.e. the fill that is the most natural and most proportionate) is then provided at fixed optimal fill arrow 213. The patient can request increased or decreased fill, although some trade-offs may be encountered. For example, with underfill, breast fullness and implant visibility decreases, while with overfill, the appearance becomes less natural, an upper bulge may occur, and the implant edges may become visible.

It should be recognized that while the illustrated embodiments of breast implant selectors 100 and 200 are linear slide rules, in alternate embodiments of the present inventive principles, circular slide rules may also be used. Furthermore, the information shown in the Tables, as well as the algorithms described above in conjunction with breast implant selectors 100 and 200, may also be utilized in electronic and software embodiments of these principles (e.g. hand-held electronic appliances and laptop computers).

Although the invention has been described with reference to specific embodiments, these descriptions are not meant to be construed in a limiting sense. Various modifications of the disclosed embodiments, as well as alternative embodiments of the invention, will become apparent to persons skilled in the art upon reference to the description of the invention. It should be appreciated by those skilled in the art that the conception and the specific embodiment disclosed might be readily utilized as a basis for modifying or designing other structures for carrying out the same purposes of the present invention. It should also be realized by those skilled in the art that such equivalent constructions do not depart from the spirit and scope of the invention as set forth in the appended claims.

It is therefore contemplated that the claims will cover any such modifications or embodiments that fall within the true scope of the invention.

TABLE 1 BW 10.5 10.5 10.5 10.5 Observa- Observa- Observa- tion 1 F Ht M Ht tion 2 F HT M Ht tion 3 F Ht M Ht 10.5ST −60 140 FM155 (9.5) Augmentation 140 Augmentation Augmentation 140 140 Alone Not Alone Not Alone Not Recommended Recommended Recommended −30 170 155FM 160MM* 170 FM180(10.0) MM185 (10.5) 170 170 — 200 205FM 195MF 200 FM180(10.0) MM185 (10.5) 200 200 +30 230 220FF 215MM 230 FF220 (10.5) MF195 (10.5) 230 230 +60 260 220FF 225MF 260 FF220 (10.5) MX225 (10.5) 260 260 +90 290 Augmentation Augmentation 290 FX245 (10.5) MX225 (10.5) 290 290 Alone Not Alone Not Recommended Recommended +120  320 Augmentation Augmentation 320 Augmentation Augmentation 320 320 Alone Not Alone Not Alone Not Alone Not Recommended Recommended Recommended Recommended Consensus F Ht M Ht Choices lower upper FM155 (9.5) MM160 (10.0) FM155 (9.5) MM160 (10.0) FL 140 (10.0) FM155 (9.5) MM160 (10.0) FM180(10.0) MM185 (10.5) FM180(10.0) MM185 (10.5) FL140 (10.0) MM185 (10.5) FM205 (10.5) MM185 (10.5) FM205(10.5) MM185 (10.5) 195MF FM180(10.0) MF225 (11.0) FF220 (10.5) MF225 (11.0) FF220 (10.5) 215MM MF225 (11.0) MF195 (10.5) FM180(10.0) MF255 (11.5) FF255 (11.0) Augmentation 220FF FF255 (11.0) FF220 (10.5) FX280 (11.0) Alone Not Recommended Augmentation Augmentation Augmentation Augmentation Alone Not Alone Not Alone Not Alone Not Recommended Recommended Recommended Recommended Augmentation Augmentation Augmentation Augmentation Alone Not Alone Not Alone Not Alone Not Recommended Recommended Recommended Recommended *preferred choice

TABLE 2 BW 11.0 Observa- Observa- Observa- tion 1 F Ht M Ht tion 2 F HT M Ht tion 3 F Ht M Ht 11ST −60 190 FL190 (11.0) MM185 (10.5) 190 FM235 (11.0) MM215 (11.0) 190 190 −30 220 FM205 (10.5) MM215 (11.0) 220 FM235 (11.0) MM215 (11.0) 220 220 — 250 FM235 (11.0) MF225 (11.0) 250 FF255 (11.0) MF225 (11.0) 250 250 +30 280 FM270 (11.5) MF255 (11.5) 280 FF255 (11.0) MF225 (11.0) 280 280 +60 310 FF290 (11.5) MF255 (11.5) 310 FX280 (11.0) MX255 (11.0) 310 310 +90 340 Augmentation Augmentation 340 FX280 (11.0) MX255 (11.0) 340 340 Alone Not Alone Not Recommended Recommended +120  370 Augmentation Augmentation 370 Augmentation Augmentation 370 370 Alone Not Alone Not Alone Not Alone Not Recommended Recommended Recommended Recommended F Ht M Ht FM205 (10.5) MM185 (10.5) FM205 (10.5) MM185 (10.5) MM215 (11.0) FL190 (11.0) MF225 (11.0) FM235 (11.0) MM215 (11.0) FM205 (10.5) FM235 (11.0) MM215 (11.0) FL190 (11.0) MF225 (11.0) FM235 (11.0) MM245 (11.5) FM235 (11.0) MF225 (11.0) FF255 (11.0) FL220 (11.5) MF255 (11.5) FM270 (11.5) MF255 (11.5) FM270 (11.5) MF255 (11.5) FF255 (11.0) FM235 (11.0) MF255 (11.5) FF290 (11.5) Augmentation FF290 (11.5) FM270 (11.5) MX290 (11.5) Alone Not Recommended Augmentation Augmentation Augmentation Augmentation Alone Not Alone Not Alone Not Alone Not Recommended Recommended Recommended Recommended Augmentation Augmentation Augmentation Augmentation Alone Not Alone Not Alone Not Alone Not Recommended Recommended Recommended Recommended *preferred choice

TABLE 3 BW 11.5 Observa- Observa- Observa- tion 1 F Ht M Ht tion 2 F HT M Ht tion 3 F Ht M Ht 11.5ST −60 215 FL220 (11.5) MM215 (11.0) 215 FM235 (11.0) MM245 (11.5) 215 215 −30 245 FM235 (11.0) MM245 (11.5) 245 FM235 (11.0) MM245 (11.5) 245 245 — 275 FM270 (11.5) MF255 (11.5) 275 FM270 (11.5) MF255 (11.5) 275 275 +30 305 FF290 (11.5) MF295 (12.0) 305 FF290 (11.5) MF255 (11.5) 305 305 +60 335 FM310 (12.0) MF295 (12.0) 335 FX315 (11.5) MX290 (11.5) 335 335 +90 365 Augmentation Augmentation 365 FX315 (11.5) MX290 (11.5) 365 365 Alone Not Alone Not Recommended Recommended +120  395 Augmentation Augmentation 395 FX315 (11.5) Augmentation 395 395 Alone Not Alone Not Alone Not Recommended Recommended Recommended F Ht M Ht FF220 (10.5) MM215 (11.0) FL220 (11.5) MM215 (11.0) FM235 (11.0) FL190 (11.0) MF225 (11.0) FM235 (11.0) MM245 (11.5) FM235 (11.0) MM245 (11.5) FL220 (11.5) MF255 (11.5) FM270 (11.5) MM245 (11.5) FM270 (11.5) MF255 (11.5) FM235 (11.0) MX290 (11.5) FF290 (11.5) MM280 (12.0) FF290 (11.5) MF295 (12.0) MM280 (12.0) FM270 (11.5) MX325 (12.0) FM310 (12.0) Augmentation FM310 (12.0) MF295 (12.0) 0.75 FM310 (12.0) MX325 (12.0) Alone Not Recommended Augmentation Augmentation Augmentation Augmentation Alone Not Alone Not Alone Not Alone Not Recommended Recommended Recommended Recommended Augmentation Augmentation Augmentation Augmentation Alone Not Alone Not Alone Not Alone Not Recommended Recommended Recommended Recommended *preferred choice

TABLE 4 BW 12..0 Observa- Observa- Observa- tion 1 F Ht M Ht tion 2 F HT M Ht tion 3 F Ht M Ht −60 240 FL250 (12.0) MM245 (11.5) 240 FM270 (11.5) MM280 (12.0) 240 −30 270 FM270 (11.5) MM280 (12.0) 270 FM270 (11.5) MM280 (12.0) 270 − 300 FM310 (12.0) MM280 (12.0) 300 FM310 (12.0) MF295 (12.0) 300 +30 330 FM310 (12.0) MF295 (12.0) 330 FM310 (12.0) MF295 (12.0) 330 +60 360 FM350 (12.5) MM320 (12.5) 360 FX360 (12.0) MX325 (12.0) 360 +90 390 Augmentation MF335 (12.5) 390 FX360 (12.0) MX325 (12.0) 390 Alone Not Recommended +120  420 Augmentation Augmentation 420 FX360 (12.0) MX325 (12.0) 420 Alone Not Alone Not Recommended Recommended F Ht M Ht FM270 (11.5) MM245 (11.5) FM270 (11.5) MM245 (11.5) MM280 (12.0) FL220 (11.5) MM280 (12.0) FM270 (11.5) MM280 (12.0) FM270 (11.5) MM280 (12.0) FL250 (12.0) MF295 (12.0) FM310 (12.0) MM280 (12.0) FM310 (12.0) MM280 (12.0) MF295 (12.0) FM270 (11.5) MX325 (12.0) FM310 (12.0) MF295 (12.0) FM310 (12.0) MF295 (12.0) FM310 (12.0) MF335 (12.5) FM350 (12.5) MF335 (12.5) FM350 (12.5) MM320 (12.5) MF335 (12.5) FM350 (12.5) MX370 (12.5) FF375 (12.5) Augmentation FF375 (12.5) MF335 (12.5) Alone Not Recommended Augmentation Augmentation Augmentation Augmentation Alone Not Alone Not Alone Not Alone Not Recommended Recommended Recommended Recommended *preferred choice

TABLE 5 BW12.5 Observation 1 F Ht M Ht Observation 2 F HT M Ht Observation 3 F Ht M Ht 12.5ST −60 240 FL220 (11.5) MM245 (11.5) 240 FM310 (12.0) MM280 (12.0) 240 240 −30 270 FM270 (11.5) MM280 (12.0) 270 FM310 (12.0) MM280 (12.0) 270 270 — 300 FM310 (12.0) MF295 (12.0) 300 FM350 (12.5) MM320 (12.5) 300 300 +30 330 FM310 (12.0) MM320 (12.5) 330 FF375 (12.5) MF335 (12.5) 330 330 +60 360 FM350 (12.5) MF335 (12.5) 360 FF375 (12.5) MF335 (12.5) 360 360 +90 390 Augmentation Augmentation 390 FF375 (12.5) MX370 (12.5) 390 390 Alone Not Alone Not Recommended Recommended +120  420 Augmentation Augmentation 420 FX410 (12.5) MX370 (12.5) 420 420 Alone Not Alone Not Recommended Recommended F Ht M Ht −60 FM235 (11.0) MM245 (11.5) FM235 (11.0) MM245 (11.5) FL220 (11.5) MF255 (11.5) −30 FM310 (12.0) MM280 (12.0) FM310 (12.0) MM280 (12.0) FL250 (12.0) MF295 (12.0) — FM310 (12.0) MM280 (12.0) FM310 (12.0) MM280 (12.0) MM320 (12.5) FM270 (11.5) MF335 (12.5) +30 FM350 (12.5) MM320 (12.5) FM350 (12.5) MM320 (12.5) FF375 (12.5) MF335 (12.5) FL320 (13.0) MF375 (13.0) +60 FM350 (12.5) MM360 (13.0) FM350 (12.5) MF335 (12.5) MM360 (13.0) FF375 (12.5) FM310 (12.0) MF375 (13.0) +90 FF375 (12.5) MF375 (13.0) FF375 (12.5) MF375 (13.0) +120  Augmentation Augmentation Augmentation Augmentation Alone Not Alone Not Alone Not Alone Not Recommended Recommended Recommended Recommended *preferred choice

TABLE 6 BW13.0 Observation 1 F Ht M Ht Observation 2 F HT M Ht Observation 3 F Ht M Ht 13ST −60 265 Augmentation ML220 (12.0) 265 FL320 (13.0) ML285 (12.5) 265 265 Alone Not Recommended −30 295 FM310 (12.0) MF295 (12.0) 295 FM350 (12.5) MM320 (12.5) 295 295 — 325 FM310 (12.0) MM320 (12.5) 325 FM350 (12.5) MM360 (13.0) 325 325 +30 355 FM310 (12.0) MM360 (13.0) 355 FM395 (13.0) MF375 (13.0) 355 355 +60 385 FM395 (13.0) MF375 (13.0) 385 FF425 (13.0) MF375 (13.0) 385 385 +90 415 Augmentation MM400 (13.5) 415 FF425 (13.0) MX410 (13.0) 415 415 Alone Not Recommended +120  445 FX410 (12.5) Augmentation 445 MX410 (13.0) 445 445 Alone Not Recommended F Ht M Ht −60 Augmentation MM280 (12.0) ML285 (12.5) MM280 (12.0) FL250 (12.0) MF295 (12.0) Alone Not Recommended −30 FM310 (12.0) MM280 (12.0) FM310 (12.0) MM280 (12.0) MF295 (12.0) MM280 (12.0) MX325 (12.0) — FM350 (12.5) MM320 (12.5) FM350 (12.5) MM320 (12.5) MM360 (13.0) FL320 (13.0) MM360 (13.0) +30 FM350 (12.5) MM360 (13.0) FM350 (12.5) MM360 (13.0) MF375 (13.0) FM350 (12.5) MF375 (13.0) +60 FF375 (12.5) MF375 (13.0) MF375 (13.0) MF375 (13.0) FM350 (12.5) MX410 (13.0) +90 Augmentation MF375 (13.0) MF375 (13.0) MF375 (13.0) Alone Not Recommended +120  Augmentation Augmentation Augmentation Augmentation Alone Not Alone Not Alone Not Alone Not Recommended Recommended Recommended Recommended *preferred choice

TABLE 7 BW13.5 Observation 1 F Ht M Ht Observation 2 F HT M Ht Observation 3 F Ht M Ht 13.5ST −60 290 Augmentation ML285 (12.5) 290 FL320 (13.0) MM320 (12.5) 290 290 Alone Not Recommended −30 320 FL320 (13.0) MM320 (12.5) 320 FM350 (12.5) MM360 (13.0) 320 320 — 350 FM350 (12.5) MM360 (13.0) 350 FM395 (13.0) MM400 (13.5) 350 350 +30 380 FF375 (12.5) MF375 (13.0) 380 FM395 (13.0) MF420 (13.5) 380 380 +60 410 FM395 (13.0) MM400 (13.5) 410 FF425 (13.0) MF420 (13.5) 410 410 +90 440 Augmentation MF420 (13.5) 440 FX410 (12.5) MX445 (13.5) 440 440 Alone Not Recommended +120  470 FX410 (12.5) Augmentation 470 MX445 (13.5) 470 470 Alone Not Recommended F Ht M Ht −60 Augmentation Augmentation ML285 (12.5) MM320 (12.5) ML285 (12.5) MM360 (13.0) Alone Not Alone Not Recommended Recommended −30 Augmentation MM360 (13.0) MM320 (12.5) MM360 (13.0) MM320 (12.5) MM360 (13.0) Alone Not Recommended — FM350 (12.5) MM360 (13.0) FM350 (12.5) MM360 (13.0) FM395 (13.0) MM400 (13.5) FM310 (12.0) MM400 (13.5) +30 FF375 (12.5) MF375 (13.0) FF375 (12.5) FM395 (13.0) MF375 (13.0) MF420 (13.5) FM350 (12.5) MF420 (13.5) +60 FM395 (13.0) MM400 (13.5) FM395 (13.0) MM400 (13.5) FF425 (13.0) MF420 (13.5) FM395 (13.0) MX410 (13.0) +90 Augmentation MF420 (13.5) Augmentation MF420 (13.5) Alone Not Alone Not Recommended Recommended +120  Augmentation Augmentation Augmentation Augmentation Alone Not Alone Not Alone Not Alone Not Recommended Recommended Recommended Recommended *preferred choice

TABLE 8 BW14.0 Observation 1 F Ht M Ht Observation 2 F HT M Ht Observation 3 F Ht M Ht 14ST −60 315 Augmentation MM320 (12.5) 315 FL320 (13.0) MM360 (13.0) 315 315 Alone Not Recommended −30 345 FL320 (13.0) MM360 (13.0) 345 FM395 (13.0) MM360 (13.0) 345 345 — 375 FM395 (13.0) MM400 (13.5) 375 FM395 (13.0) MM360 (13.0) 375 375 +30 405 FM395 (13.0) MM400 (13.5) 405 FM440 (13.5) MF420 (13.5) 405 405 +60 435 Augmentation MM400 (13.5) 435 MF420 (13.5) 435 435 Alone Not Recommended +90 465 Augmentation Augmentation 465 465 465 Alone Not Alone Not Recommended Recommended +120  495 Augmentation Augmentation 495 495 495 Alone Not Alone Not Recommended Recommended F Ht M Ht −60 Augmentation Augmentation FL320 (13.0) MM320 (12.5) MM360 (13.0) FL320 (13.0) MM360 (13.0) Alone Not Alone Not Recommended Recommended −30 Augmentation MM360 (13.0) MM360 (13.0) MM360 (13.0) FL320 (13.0) MF375 (13.0) Alone Not Recommended — FM395 (13.0) MM360 (13.0) FM395 (13.0) MM360 (13.0) MM400 (13.5) FL320 (13.0) MF420 (13.5) +30 FM395 (13.0) MM400 (13.5) FM395 (13.0) MM400 (13.5) MF420 (13.5) FM395 (13.0) MF420 (13.5) +60 Augmentation MM400 (13.5) MM400 (13.5) MF420 (13.5) MM400 (13.5) MX445 (13.5) Alone Not Recommended +90 Augmentation Augmentation Augmentation Augmentation Alone Not Alone Not Alone Not Alone Not Recommended Recommended Recommended Recommended +120  Augmentation Augmentation Augmentation Augmentation Alone Not Alone Not Alone Not Alone Not Recommended Recommended Recommended Recommended *preferred choice

TABLE 9 ML170 (11.0) ML195 (11.5) ML220 (12.0) ML285 (12.5) MM160 (10.0) MM185 (10.5) MM215 (11.0) MM245 (11.5) MM280 (12.0) MM320 (12.5) MM360 (13.0) MM400 (13.5) MM450 (14.0) MF165 (10.0) MF195 (10.5) MF225 (11.0) MF255 (11.5) MF295 (12.0) MF335 (12.5) MF375 (13.0) MF420 (13.5) MX165 (9.5) MX195 (10.0) MX225 (10.5) MX255 (11.0) MX290 (11.5) MX325 (12.0) MX370 (12.5) MX410 (13.0) MX445 (13.5) FL140 (10.0) FL190 (11.0) FL220 (11.5) FL250 (12.0) FL320 (13.0) FM155 (9.5) FM180 (10.0) FM205 (10.5) FM235 (11.0) FM270 (11.5) FM310 (12.0) FM350 (12.5) FM395 (13.0) FM440 (13.5) FF160 (9.5) FF185 (10.0) FF220 (10.5) FF255 (11.0) FF290 (11.5) FF375 (12.5) FF425 (13.0) FX185 (9.5) FX215 (10.0) FX245 (10.5) FX280 (11.0) FX315 (11.5) FX360 (12.0) FX410 (12.5) Augmentation Alone Not Recommended FF185 (10.0)

TABLE 10 BW10.5 Obser- Obser- Best Obser- Best Best vation 1 Best Choice vation 2 Choice vation 3 Choice ST Choice Consensus −60 140 Style 10 150 140 140 140 Style 10 Style 10 Style 10 150 (10.1) (10.1) 150 (10.1) 150 (10.1) −30 170 Style 10 180 170 170 170 Style 10 Style 10 Style 10 180 (10.7) (10.7) 180 (10.7) 180 (10.7) SS — 200 Style 15 194 200 200 200 Style 10 Style 15 Style 10 210 (11.2) (10.3) 210 (11.2) 194 (10.3) +30 230 Style 15 234 230 230 230 Style 10 Style 15 Style 10 240 (11.7) (10.9) 240 (11.7) 234 (10.9) +60 260 Style 20 260 260 260 260 Style 10 Style 20 Style 10 Style 10 270 (12.2) (10.4) 240 (11.7) 260 240 (10.4) (11.7) +90 290 Style 20 280 290 290 290 Style 10 Style 10 300 (12.6) (10.6) 270 (12.2) +120 320 Augmentation 320 320 320 Style 15 Style 10 330 (13.0) Alone Not 304 (11.9) Recommended Style 10 360 (13.4) Style 10 390 (13.6) Style 10 420 (14.0) Style 10 450 (14.4) *preferred choice

TABLE 11 *preferred BW11.0 choice Style 15 158 (9.5) Best Obser- Best Best Observation 1 Best Choice Observation 2 Choice vation 3 Choice ST Choice Style 15 176 (9.9) −60 190 Style 10 180 190 190 190 Style 10 Style 10 Style 15 194 (10.3) (10.7) 180 180 (10.7) (10.7) −30 220 Style 10 210 220 220 220 Style 10 Style 10 Style 15 213 (10.6) (11.2) 210 210 (11.2) (11.2) SS — 250 Style 15 234 250 250 250 Style 10 Style 15 Style 15 234 (10.9) (10.9) 240 234 (11.7) (10.9) +30 280 Style 15 286 280 280 280 Style 10 Style 15 Style 10 Style 15 265 (11.4) (11.7) 270 286 270 (12.2) (11.7) (12.2) +60 310 Style 20 300 310 310 310 Style 10 Style 20 Style 10 Style 15 286 (11.7) (10.9) 300 300 300 (12.6) (10.9) (12.6) +90 340 Style 20 325 340 340 340 Style 10 Style 15 304 (11.9) (11.2) 330 (13.0) +120 370 Augmentation 370 370 370 Style 15 Style 15 339 (12.4) Alone Not 339 Recommended (12.4) Style 15 371 (12.9) Style 15 397 (13.1) Style 15 421 (13.3) Style 15 457 (13.7)

TABLE 12 *preferred BW11.5 choice Style 20 140 (9.1) Obser- Best Best Best Observation 1 Best Choice vation 2 Choice Observation 3 Choice ST Choice Style 20 160 (9.4) −60 215 Style 10 210 215 215 215 Style 10 Style 10 Style 20 180 (9.6) (11.2) 210 (11.2) 210 (11.2) −30 245 Style 10 240 245 245 245 Style 10 Style 10 Style 20 200 (9.7) (11.7) 240 (11.7) 240 (11.7) SS — 275 Style 15 265 275 275 275 Style 10 Style 15 Style 10 Style 20 230 (10.0) (11.4) 270 (12.2) 265 270 (11.4) (12.2) +30 305 Style 15 304 305 305 305 Style 10 Style 15 Style 10 Style 20 260 (10.4) (11.9) 300 (12.6) 304 300 (11.9) (12.6) +60 335 Style 15 339 335 335 335 Style 10 Style 15 Style 10 Style 20 280 (10.6) (12.4) 330 (13.0) 339 330 (12.4) (13.0) +90 365 Style 20 350 365 365 365 Syle 10 Style 20 300 (10.9) (11.4) 360 (13.4) +120 395 Augmentation 395 395 395 Style 15 Style 20 325 (11.2) Alone Not 397 (13.1) Recommended Style 20 350 (11.4) Style 20 375 (11.7) Style 20 400 (11.9)

TABLE 13 *preferred BW12.0 choice Style 20 425 (12.0) Obser- Best Best Best Observation 1 Best Choice vation 2 Choice Observation 3 Choice ST Choice Style 20 450 (12.4) −60 240 Style 10 240 240 240 240 Style 10 Style 10 Augmentation (11.7) 240 (11.7) 240 Alone Not (11.7) Recommended −30 270 Style 10 270 270 270 270 Style 10 Style 10 (12.2) 270 (12.2) 270 (12.2) SS — 300 Style 15 304 300 300 300 Style 10 Style 10 Style 15 (11.9) 300 (12.6) 300 304 (12.6) (11.9) +30 330 Style 15 339 330 330 330 Style 10 Style 10 Style 15 (12.4) 330 (13.0) 330 339 (13.0) (12.4) +60 360 Style 15 371 360 360 360 Syle 10 Style 15 (12.9) 360 (13.4) 371 (12.9) +90 390 Style 20 400 390 390 390 Style 10 (11.9) 390 (13.6) +120 420 Augmentation 420 420 420 Style 15 Alone Not 421 (13.3) Recommended

TABLE 14 BW12.5 Best Best Best Observation 1 Best Choice Observation 2 Choice Observation 3 Choice ST Choice −60 240 Style 10 240 240 240 240 Style 10 Style 10 (11.7) 240 (11.7) 240 (11.7) −30 270 Style 10 270 270 270 270 Style 10 Style 10 (12.2) 270 (12.2) 270 (12.2) SS — 300 Style 10 300 300 300 300 Style 10 Style 10 (12.6) 300 (12.6) 300 (12.6) +30 330 Style 10 330 330 330 330 Style 10 Style 10 (13.0) 330 (13.0) 330 (13.0) +60 360 Style 15 371 360 360 360 Syle 10 Syle 10 Style 15 (12.9) 360 (13.4) 360 371 (13.4) (12.9) +90 390 Style 15 371 390 390 390 Style 10 (12.9) 390 (13.6) +120  420 Augmentation 420 420 420 Style 15 Alone Not 421 (13.3) Recommended *preferred choice

TABLE 15 BW13.0 Best Best Best Observation 1 Best Choice Observation 2 Choice Observation 3 Choice ST Choice −60 265 Style 10 270 265 265 265 Style 10 Style 10 (12.2) 270 (12.2) 270 (12.2) −30 295 Style 10 300 295 295 295 Style 10 Style 10 (12.6) 300 (12.6) 300 (12.6) SS — 325 Style 10 330 325 325 325 Style 10 Style 10 (13.0) 330 (13.0) 330 (13.0) +30 355 Syle 10 360 355 355 355 Syle 10 Syle 10 (13.4) 360 (13.4) 360 (13.4) +60 385 Style 10 390 385 385 385 Style 10 Style 10 (13.6) 390 (13.6) 390 (13.6) +90 415 Style 10 420 415 415 415 Style 10 (14.0) 420 (14.0) +120  445 Augmentation 445 445 445 Style 10 Alone Not 450 (14.4) Recommended *preferred choice

TABLE 16 BW13.5 Best Best Observation 1 Best Choice Observation 2 Choice Observation 3 Choice ST Best Choice −60 290 Style 10 300 290 290 290 Style 10 300 Style 10 300 (12.6) (12.6) (12.6) −30 320 Style 10 330 320 320 320 Style 10 330 Style 10 330 (13.0) (13.0) (13.0) SS — 350 Syle 10 360 350 350 350 Style 10 360 Syle 10 360 (13.4) (13.4) (13.4) +30 380 Style 10 390 380 380 380 Style 10 390 Style 10 390 (13.6) (13.6) (13.6) +60 410 Style 10 420 410 410 410 Style 10 420 Style 10 420 (14.0) (14.0) (14.0) +90 440 Style 15 421 440 440 440 Style 10 450 (13.3) (14.4) +120  470 Augmentation 470 470 470 Augmentation Alone Not Alone Not Recommended Recommended *preferred choice

TABLE 17 BW14.0 Best Best Observation 1 Best Choice Observation 2 Choice Observation 3 Choice ST Best Choice −60 315 Style 10 330 315 315 315 Style 10 300 Style 10 300 (13.0) (12.6) (12.6) −30 345 Syle 10 360 345 345 345 Style 10 330 Syle 10 360 (13.4) (13.0) (13.4) SS — 375 Syle 10 360 375 375 375 Syle 10 360 Syle 10 360 (13.4) (13.4) (13.4) +30 405 Style 10 390 405 405 405 Style 10 390 Style 10 390 (13.6) (13.6) (13.6) +60 435 Style 10 420 435 435 435 Style 10 420 Style 10 420 (14.0) (14.0) (14.0) +90 465 Style 10 450 465 465 465 Style 10 450 (14.4) (14.4) +120  495 Augmentation 495 495 495 Augmentation Alone Not Alone Not Recommended Recommended *preferred choice

TABLE 18 Full Height/Moderate Full Height/Moderate Full Height/Moderate Full Height/Moderate Projection FM Projection FF Projection MM Projection MF Width Height Size Width Height Size Width Height Size Width Height Size 10.0 cm 10.5 180 10.0 10.5 185 10.0 9.1 160 10.0 9.1 165 10.5 cm 11.0 205 10.5 11.0 220 10.5 9.6 185 10.5 9.6 195 11.0 cm 11.5 235 11.0 11.5 255 11.0 10.1 215 11.0 10.1 225 11.5 cm 12.0 270 11.5 12.0 290 11.5 10.6 245 11.5 10.6 255 12.0 cm 12.5 310 12.0 11.1 280 12.0 11.1 295 12.5 cm 13.0 350 12.5 13.0 375 12.5 11.6 320 12.5 11.6 335 13.0 cm 13.5 395 13.0 13.5 425 13.0 12.1 360 13.0 12.1 375 13.5 cm 14.0 440 13.5 14.0 475 13.5 12.5 400 13.5 12.5 420 14.0 cm 14.5 500 14.0 14.5 535 14.0 12.9 450 14.0 12.9 470

TABLE 19 BREAST IMPLANT CHART - RANGE OF POSSIBILITIES SHADED ROW INDICATES “STARTING VOLUME” DETERMINED BY BASE WIDTH (NUMBERS ALONG THE TOP) ONE THEN ADDS OR SUBTRACTS ACCORDING TO THE SKIN STRETCH, FILL, AND NIPPLE FOLD MEASUREMENTS, AS SHOWN IN TABLE 20. 10.5 11 11.5 12 12.5 13 13.5 14 14.5 15 −60 140 190 215 240 240 265 290 315 315 340 −30 170 220 245 270 270 295 320 345 345 370 — 200 250 275 300 300 325 350 375 375 400 +30 230 280 305 330 330 355 380 405 405 430 +60 260 310 335 360 360 385 410 435 435 460 +90 290 340 365 390 390 415 440 465 465 490 +120  320 370 395 420 420 445 470 495 495 520

TABLE 20 Determining Optimum Implant Volume STEP 1 Width B.W. Parenchyma (cm) 10.5 11.0 11.5 12.0 12.5 13.0 13.5 14.0 14.5 15.0 Initial Volume (cc) 200 250 275 300 300 325 350 375 375 400 Narrow Average Wide Very Wide STEP 2 Skin Stretch <2 cm −30 cc 2-3 cm (no change) 3-4 cm +30 cc >4 cm +60 Tight Average Loose Very Loose STEP 3 Fill <20% full +30 20-80% (no change) >80% −30 cc Empty Average Full STEP 4 Nipple-Fold (on maximal stretch) <9 cm (no adjustment) >9.5 +30 cc Normal Long CONCLUSION Wheel/Chart should now show optimum implant volume Final Volume should also show a N: IMF distance as follows: 200 250 275 300 325 350 375 400 7.0 7.0 7.5 8 8 8.5 9.0 9.5 

1. A breast implant selector system comprising: a breast width selector; a breast tissue type selector, and; a result indicator providing a selected breast implant.
 2. The breast implant selector system of claim 1, further comprising a breast implant size selector.
 3. The breast implant selector system of claim 2, wherein the breast selector system comprises a body having a plurality of windows and wherein: the breast implant selector comprises a first mechanical slide supported by the body for aligning breast width input information appearing in a first one of the windows with a first pointer; the breast tissue type selector comprises a second mechanical slide supported by the body for aligning breast tissue type input information appearing in a second one of the windows with a second pointer positioned within the second window by the first mechanical slide; and the implant size selector comprises a third mechanical slide supported by the body for aligning implant size input information appearing within a third one of the windows with a third pointer positioned within the third window by the second mechanical slide.
 4. The breast implant selector system of claim 2, wherein: the breast width selector positions the selected breast width input information in a first window on the breast input selector; the breast tissue type selector positions the breast tissue type input information in a second window on the breast implant selector relative to a first pointer controlled by the breast width selector; and the implant size selector positions the implant size input information within a third window on the breast implant selector relative to a second pointer controlled by the breast tissue type selector.
 5. The breast implant selector system of claim 4, wherein: the breast width selector comprises a first mechanical slide having a surface bearing selected breast width information and is movable relative to the first window such that at least some of the selected breast width information is visible through the first window; the breast tissue type selector comprises a second mechanical slide having a surface bearing selected breast tissue type information and is movable relative to the second window such that at least some of the selected breast tissue type information is visible through the second window; and the implant size selector comprises a third mechanical slide having a surface bearing selected implant size information and is movable relative to the third window such that at least some of the selected implant size information is visible through the third window.
 6. The breast implant selector system of claim 5, wherein: the surface of the first mechanical slide further bears the first pointer and the first mechanical slide positions the first pointer within the second window; and the surface of the second mechanical slide further bears the second pointer and the second mechanical slide positions the second pointer within the third window.
 7. The breast implant selector system of claim 6, wherein the result indicator comprises an result window and the surface of the third mechanical slide further bears the result and positions the result within the result window.
 8. The breast implant selector system of claim 4, wherein the mechanical slides comprise linear mechanical slides.
 9. The breast implant selector system of claim 2, wherein the result includes a commercial breast implant designator.
 10. The breast implant selector system of claim 9, wherein the result further includes a nipple-to-fold length value.
 11. The breast implant selector system of claim 2, wherein the result includes breast implant fill information. 